Vendor Name:
Vendor ID:
Total Invoice Amount:
Amount of Payment Adjustment:
Terms Discount Amount:
Net Amount Paid:

Adjustment Reason Code:		Reference No.:
Reference No. Qualifier: :			Payment Description:
Vendor Bank ID:			Account Type:	Checking Savings
Vendor Bank Acct. No:
Last Payment Date:			Create Prenote:
Hold Transfer:			Prenote Date: